Research
Print page Print page
Switch language
Rigshospitalet - a part of Copenhagen University Hospital
Published

Long-term employment, education, and healthcare costs of childhood and adolescent onset of epilepsy

Research output: Contribution to journalJournal articleResearchpeer-review

  1. Somatosensory phenomena elicited by electrical stimulation of hippocampus: Insight into the ictal network

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Why are antiepileptic drugs continued after successful epilepsy surgery in adults?

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Psychogenic nonepileptic seizures treated with psychotherapy: Long-term outcome on seizures and healthcare utilization

    Research output: Contribution to journalJournal articleResearchpeer-review

  4. Welfare consequences for people diagnosed with nonepileptic seizures: A matched nationwide study in Denmark

    Research output: Contribution to journalJournal articleResearchpeer-review

  5. Morbidity and mortality of nonepileptic seizures (NES): A controlled national study

    Research output: Contribution to journalJournal articleResearchpeer-review

  1. Automatic sleep stage classification with deep residual networks in a mixed-cohort setting

    Research output: Contribution to journalJournal articleResearchpeer-review

  2. Severe hypersomnia after unilateral infarction in the pulvinar nucleus- a case report

    Research output: Contribution to journalJournal articleResearchpeer-review

  3. Large genome-wide association study identifies three novel risk variants for restless legs syndrome

    Research output: Contribution to journalJournal articleResearchpeer-review

  • Poul Jennum
  • Nanette Marinette Monique Debes
  • Rikke Ibsen
  • Jakob Kjellberg
View graph of relations

OBJECTIVE: Childhood- and adolescent-onset epilepsy may have a significant impact on long-term educational and vocational status, which in turn has consequences for individuals' socioeconomic status. We estimated the factual long-term socioeconomic consequences and healthcare costs of individuals with diagnosed epilepsy.

METHODS: The prospective cohort study included Danish individuals with epilepsy onset before the age of 18 years, diagnosed between 2002 and 2016. Healthcare costs and socioeconomic data were obtained from nationwide administrative and health registers. The prediction was made with a general estimating equation (GEE). A total of 15,329 individuals were found with the diagnosis during this period and were followed until the age of 30 years. These were compared with 31,414 controls. We used 30 years as this represent an age where most has finalized their education, and as such represent the final educational level. Patients and their controls were subdivided into debut age groups of 0-5 and 6-18 years. Individuals were matched for age, gender, and residential location.

RESULTS: Compared with control groups, patients with epilepsy at the age of 30 years tended to have the following: 1) parents with lower educational attainment; 2) a significantly lower educational level when controlling for parental education attainment; 3) lower grade-point averages; 4) a lower probability of being in employment and lower income, even when transfer payments were considered; and 5) elevated healthcare costs, including those for psychiatric care. It was also noted that the long-term educational consequences for patients with epilepsy were associated with parental educational level. Differences were more pronounced for those with early (0-5 years) rather than later (6-18 years) onset epilepsy.

CONCLUSIONS: Epilepsy is associated with severe long-term socioeconomic consequences: lower educational level, school grades, employment status, and earned income. The presence of epilepsy is associated with parental educational level.

LIMITATIONS: SIGNIFICANT OUTCOMES.

Original languageEnglish
JournalEpilepsy and Behavior
Volume114
Issue numberPt A
Pages (from-to)107256
ISSN1525-5050
DOIs
Publication statusPublished - Jan 2021

ID: 61830224